Title: Repairing Skin Tears in the Elderly (Submitted by Heidi Teague, MD)<br/>Author: Danya Khoujah<br/><a href='http://umem.org/profiles/faculty/739/'>[Click to email author]</a><hr/><p>
Many elderly patients have thin skin making suture repair of lacerations difficult. Consider using Steri-Strips™ in combination with sutures to close fragile skin tears.</p>
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1. Apply Steri-Strips™ perpendicular to the wound in order to approximate skin edges.</p>
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2. Place sutures through both the applied Steri-Strips™ and skin and knot the suture.</p>
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This technique will help prevent the suture from tearing the skin as the tension of the suture will be distributed across the surface area of the Steri-Strips™.</p>
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<fieldset><legend>References</legend>
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<span style="color: rgb(0, 0, 0); font-family: Times; font-size: medium;">Davis M, Nakhdjevani A, Lidder S. Suture/Steri-Strip Combination for the Management of Lacerations in Thin-Skinned Individuals. The Journal of Emergency Medicine. 2011;40(3):322-323. doi:10.1016/j.jemermed.2010.05.077.</span></p>
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